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Five plans are dropping out of the FEHB for the 2017 plan year, bringing the total down to 245. They are Sanford Health Plan in South Dakota, North Dakota and Iowa; Grand Valley Health Plan in Michigan; and FirstCare in Texas. OPM said the reasons for the dropouts are the same as in the past, largely lack of market share by HMOs—the five plans together have fewer than 1,000 enrollees. That’s the smallest number of enrollees affected by dropouts since at least 1998. No new plans are joining, but three are adding plan options: Illinois Blue Preferred point-of-service is adding a standard option in parts of Missouri and Illinois; Blue HMO Preferred is adding a standard option in New Mexico; and GlobalHealth is adding a standard option in Oklahoma.